, 12 2,, 6486 22372 ( IARC) / ( IACR) 41528 (CIFC), 1993 1997 89489 31307,,, 1, 1996 1997 2, 1993 1997 5 ; + 4, 19931997, ( 19961997 ) ; () 19931997 1

12 1993 1997 1, 2, 1, 1 3, (1., 100021 ;2., 100044 ;3., 100021) :[ ], [ ] /, 12 1993 1997 [ ], 12 108 915 759, 230 024, 161 602 88 %, 0. 578,,,,12 14/ 10 21/ 10 11/ 10 15/ 10 ; 169. 3/ 10 359. 7/ 10 48. 1/ 10 219. 1/ 10, 10, / ;, /, / 10, / ; 10,, /, / [ ],, /, / ; /, /, : ; ; ; :R73-31 :A :1004-0242(2002) 09-0497 - 11 Statistical Analysis of Data from 12 Cancer Registries in China, 19931997 LI Lian2di 1, RAO Ke2qin 2, ZHANG Si2wei 1, et al. (1. National Office of Cancer Research and Control, Beijing 100021, China ; 2. Center for Health Statistics Information Ministry of Health, Beijing 100044, China) Abstract : [ Purpose ] To explore the characteristics of cancer incidence and mortality in the population of established cancer registries in China. [ Method]All new cancer cases, cancer deaths and the population data covered in 12 selected cancer registries (5 urban cities and 7 rural counties) in China in 19931997 were analyzed by the methods of cancer registry recommended by IARC/ IACR. [ Results] There were 230 024 newcancer cases and 161 602 cancer deaths among 108 915 759 person2years in all 12 cancer registries during the study period. More than 88 % of those cases were diagnosed by first2or second-grade exams. The ratio of death to incidence of cancer were 0. 578 and other data verifying indices also met the international requirements. In the cities, the age-adjusted incidence rates of cancers from all sites were 14/ 100,000 21/ 100, 000 and 11/ 100, 00015/ 100, 000 among the males and females, respectively. In the rural residents, these rates were 169. 3/ 100,000359. 7/ 100,000 and 48. 1/ 100,000219. 1/ 100,000 among the males and the females,respectively. The ten leading can2 cers of incidence and death were identical in urbans male, included lung, stomach, liver, colon/ rectum, esophagus, pancreas,baldder, lym2 phoma, leukemia and brain. In urbans female the ten leading cancers of incidence and death were also identical, with a big difference on ranking. The ranking incidence was cancers of lung, breast, colon/ rectum, stomach, liver, ovary, esophagus, pancreas, uterus and brain,and the ranking of mortality was cancers of lung, stomach, liver, colon/ rectum, breast, pancreas, esophgus, brain, ovary and corpus uteri. The ten leading cancers of incidence and mortality were basically identical in male rural residents, including cancers of stomach, liver, esophagus, lung, colon/ rectum, nasopharynx, leukemia, brain, pancreas, and malignant lymphoma. In female rural resident the ten leading cancers were almost identical with a little difference on ranking. The ranking incidence was cancers of stomach, liver, breast, lung, colon/ rectum, esophagus, nasopharynx, leukemia, brain, pancreas, corpus uteri, and the ranking mortality was cancers of stomach, liver, esophagus, lung, colon/ rec2 tum, breast, leukemia, brain, pancreas, uterus, nasopharynx. [ Conclusion] Substantial differences were observed in cancer incidence and mortality in China. In urban residents in the study the common cancer sites were lung,stomach,liver,esophagus and pancrease in males,breast, lung, colun/ rectum, stomach, liver and ovary in females. In rural residents those were stomach, liver, esophagus, lung, colon/ rectum and na2 sopharynx in males,stomach,liver,breast,lung,colon/ rectum and esophagus in females. In order to know the exact cancer information,to estab2 lish a complete cancer registry system in China is necessary. Key words : neoplasms ; epidemiology; cancer registry ; incidence ; mortality; China :2002-07 - 23 : (96-906 - 01-01) 2002 11 9 497

, 12 2,, 6486 22372 ( IARC) / ( IACR) 41528 (CIFC), 1993 1997 89489 31307,,, 1, 1996 1997 2, 1993 1997 5 ; + 4, 19931997, ( 19961997 ) ; () 19931997 19931997 12 19931997 108 915 759, 55 520 671, 53 395 088 ; 19931997 19931997 4 1( 1) 19961997 19931997 19931997 1 1993 1997 19931997 19931997 3829739 12080509 18503858 32240875 19780066 2990613 4895680 1570985 5824912 1886775 3301924 2009823 108915759 12 1993 1997 230 024, 132 475, 97 549 ( 2) 1948064 6193658 9255650 16419066 10222906 1528351 2499294 811445 2889459 955023 1746976 1050779 55520671 1881675 5886851 9248208 15821809 9557160 1462262 2396386 759540 2935453 931752 1554948 959044 53395088 4 5 0 4 7 5 4 7 8 2 2 0 4 3,, 2000 10 435 4566 2767 1799 4 14556 8513 6043 1 23706 13624 10082 5 2 63721 38430 25291 2 22570 14640 7930 5 5151 3148 2003 7 7090 4219 2871 7 1851 1238 613 2. 1 1993 1997 9166 6121 3045 1 12 2937 2000 937 3 4590 3361 1229 3 1698 1321 377 0 161602 99382 62220 0 6809 8357 2208 10828 3583 5319 1738 230024 3726 12088 22572 50136 18799 4029 5047 1476 7104 2338 3801 1359 132475 498 2002 11 9 5 5 6 5 5 6 6 59. 4 4 4 6 5 2 3 3 3 29. 2 2 3 50. 5 5 3 39. 8 90. 3 1 1 0. 5 8. 5 2760 10284 18956 39353 12508 2780 3310 732 3724 1245 1518 379 97549 0. 1 0. 2 0. 2 5 8 9 7 0 5 2 2 1 8 0 9 6 4 19931997 19931997 19931997 19931997 19931997 19931997 19931997 19961997 19931997 19931997 19931997 19931997 19931997 6486 22372 41528 89489 31307 6809 8357 2208 10828 3583 5319 1738 230024 63 435 1242 2527 451 13 66 0 37 3 76 6 4919 0. 3 ( ICD - 159 165 195-199) 7 4 9 2 4 0. 19 0. 79 0 0. 34 8 3 0. 35 4

12 1993 1997 161 602, 99 382, 6 0. 650. 72, 0. 76 8, 26 / 0. 57, 19931997 4566 6486 0. 70 / 8, 19931997 14556 22372 0. 65, ( 6) 19931997 19931997 23706 63721 41528 89489 0. 57 0. 71 /, 19931997 22570 31307 0. 72 3, 0 19931997 19931997 5151 7090 6809 8357 0. 76 5 ( 7) 19961997 1851 2208 4 ( DCN) 19931997 19931997 9166 2937 10828 3583 5 2 (DCO) 19931997 19931997 1698 4590 1738 5319 8 6 DCN ( 4) DCO 532 1758 2813 11079 3498 912 2476 469 1497 536 1980 188 759 2487 4363 13725 4630 1263 3114 696 1744 626 2268 190 0. 70 0. 71 0. 64 1 0. 76 0. 72 0 0. 67 6 6 7 9 7 1530 4169 8766 15506 5956 488 333 430 1508 557 374 96 1675 5076 12151 17390 6646 545 355 504 1713 623 439 105 1 2 0. 72 9 0 0 4 5 8 9 5 1 670 1679 2902 7847 3505 471 425 383 3343 562 818 1010 733 2030 3722 8311 3663 527 447 391 3862 587 847 1028 1 3 0. 78 4 6 9 5 8 7 6 7 8 231 1052 1296 3264 1506 2635 3069 159 507 270 507 29 224 1281 1768 3467 1828 3583 3510 188 553 289 494 32 9 (1/ 10 ) 62 220 ( 3) 19 14 0 199. 8. 2 19 17 2 14 24 20 9 19 30 248. 7 3 21 88 % 5 % 18 13 0 18 6 %, 6 %, 26 190. 1 9 359. 7 20 138. 1 6 30 %, 4 %59. 4 % ( 18 9 9 219. 2 4) 24 12 4 230. 5 24 13 3 21 ( ) 21 9 3 29 ICD29 159 165 129. 3 39. 5 7 169. 3 195-199 ;, 7 %, 4 %9 % ;, 8 %3 %,,3 %( 5) 3 2 0. 73 4 2 0. 74 7 5 2 3 3 1 13 12 15 15 11 219. 1 180. 3 10 10 10 10 48. 1,,, ( 8). 1 1993 1997, 129. 3/ 10 30/ 10, 39. 5/ 10 248. 7/ 10, ( 9), 1993 1997 1993 1994 1995 1996 1997 6262 22230 41528 89489 31307 6670 8357 2208 10828 3415 5319 1738 8 1095 4411 8278 17779 6143 1266 1627-1907 673 1145 313 1245 4357 8141 17455 6223 1309 1722-1854 662 1055 334 1298 4395 8473 17437 6214 1381 1696-2501 660 960 343 1376 4442 8566 18168 6244 1479 1746 1118 2278 732 1024 381 1248 4625 8070 18650 6483 1235 1566 1090 2288 688 1135 367,, 14/ 10 21/ 10 11/ 10 15/ 10,,,, ; 169. 3/ 10 359. 7/ 10 48. 1/ 10 219. 1/ 10,,, 2002 11 9 499

() 0 14 59 1014 1519 2024 2529 3034 3539 4044 4549 5054 5559 6064 6569 7074 7579 8084 85 18 10. 2 1 10. 3 8. 5 1 1 3 6 100. 4 21 37 50 74 1030. 3 167 156 1407. 3 100 10 (1/ 10 ) 140. 2 1 2 3 9 14 19 270. 6 29 538. 0 60 80 74 57 497. 3 19 10. 1 1 1 2 3 7 120. 3 20 33 570. 3 85 121 143 1389. 8 117 17 10. 7 1 2 3 70. 1 11 19 23 308. 5 45 579. 8 80 86 87 528. 5 24 19. 7 1 1 1 1 18. 3 30. 2 5 89. 2 16 29 46 76 115 159 172 191 1588. 5 20 1 8. 7 1 2 4 6 12 19 27 38 60 81 104 1128. 3 100 76 30 8. 1 1 10. 6 1 1 1 2 3 7 12 19 29 41 79 124 174 207 238 2289. 2 248. 7 1 9. 5 1 19. 3 28. 0 5 100. 1 17 260. 5 308. 4 35 53 73 98 112 1198. 0 86 18 2 1 1 2 40. 6 7 11 17 28 45 77 114 146 166 137 82 13 9. 1 1 2 4 7 11 17 229. 1 29 41 56 67 68 54 38 () 26 0 2 14 59 1014 1519 10. 3 2024 2529 1 3034 3 3539 7 4044 25 4549 41 5054 86 5559 114 6064 154 6569 201 7074 2540. 7 7579 2430. 7 8084 2219. 8 85 234 190. 1 8. 3 1 1 2 6 159. 5 30 56 70 91 116 139 135 104 126 20 1 2 39. 5 14 52 62 75 137 178 235 236 233 146 11 138. 1 8. 1 1 28. 5 11 400. 7 390. 3 38 809. 3 101 123 126 121 57 18 1 2 4 109. 8 20 49 47 959. 7 141 183 217 111 99. 2 10 11 1993 1997 ( ICD29) 3 62,15, 55, 58 62, 20, 60 80, 80, 10,, (20 (1/ 10 ) 9 4 2 7 13 21 20 49 70 68 72 47 73 24 8. 7 9. 8 27. 3 7 180. 7 30 42 41 56 89 1097. 3 130 144 1468. 1 109. 3 12 13 14 15 1993 1997 49 ), ; 10 ;, 10 500 2002 11 9 12 1 3 69. 3 15 21 208. 5 258. 3 35 44 53 69 66 50 24 3 1 10. 7 1 1 4 5 11 219. 8 37 63 87 1300. 3 173 136 146 114 13 1 17. 3 1 2 6 9 12 23 35 41 57 69 53 39 330. 2 21 17. 3 1 2 4 12 200. 1 320. 3 63 97 138 176 207 169 108 85 9 1 20. 7 2 4 7 11 16 25 30 47 55 589. 5 440. 3 31 15 129. 3 1 2 5 16 23 32 34 41 42 51 62 538. 3 528. 7 40 27 39. 5 8. 4 1 2 4 9 13 15 11 179. 3 130. 3 13 9 6 28. 3

1 2 3 4 5 6 7 8 9 10 110 ( ICD) 5 29. 3 5 ( ICD) 4 2 3 ( ICD) 7 3 60. 4 ( ICD) 7 2 5 ( ICD) 49. 4 2 5 12 10 (1/ 10 ) 2 1 2 27. 8 1 19. 8 3 1 2 5 1 3 29. 3 1 29. 8 2 1 2 2 1 18. 4 2 1 2 3 1 2 2 1 2 / 17. 3 1 9. 5 10. 7 / 18. 7 1 1 10. 2 8. 3 / 1 1 1 10. 6 / 3 1 2 1 9. 7 10. 6 7. 3 9. 3 / 1 1 1 1 (189) (189) (161) 8 8 8 (185) 8 8 1 2 3 4 5 6 7 8 9 10 110 ( ICD) 3 2 30. 1 ( ICD) 3 19. 5 2 ( ICD) 5 2 3 / 3 2 2 1 9. 4 1 1 1 / ( ICD) 4 3 3 1 1 1 2 19. 5 1 ( ICD) 2 1 18. 1 1 1 1 13 10 (1/ 10 ) / 3 19. 3 2 1 1 1 1 8. 7 / 3 1 2 1 1 1 1 1 1 30. 5 1 18. 0 9. 4 9. 5 1 1 / 1 10. 2 1 7. 8 9. 2 79. 2 8 7 (156) 7 7 2002 11 9 501

( ICD) 13 5 18 5 2 78. 1 ( ICD) 8 4 12 8 %8 % 5 / 39. 3/ 10 159. 8/ 10,, 10 9/ 10 7 %8 % ; 5 / 161. 0/ 10 68. 0/ 10 9/ 10,,, ;, 16/ 10 28/ 10 4/ 10 15/ 10, 10 89. 7 %98. 1 % 5, /,, ; 4 10 1 10 8 % 2. 9 % 5 / 17 18 1993 1997, 1 2 3 4 5 6 7 8 9 10 110 ( ICD) 60. 3 3 7 ( ICD) 100. 3 4 9 ( ICD) 5 2 4 ( ICD) 10 4 14 ( ICD) 8 6 10 2. 16 14 2 9. 1 3 8 1 40. 2 12 18. 7 4 2 5 4 18. 3 4 4 18. 7 3 3 1 49. 1 1 1 10 (1/ 10 ) 3 1 4 3 1 3 4 18. 0 3 2 30. 7 9. 1 1 / / 1993 1997, 12/ 10 23/ 10, (161) / 1 10. 4 2 / 1 1 1 10. 1 / 2 2 2 20. 7 2 1 9. 7 8. 1 30. 1 2 8. 5 1 0. 5 0. 6 0. 4 0. 6 9 (161) 0. 4 9 / 8. 7 / 98. 1 9 89. 7 9 9, 15,20, 80 (20 49 ), 502 2002 11 9

1 2 3 4 5 6 7 8 9 10 110 ( ICD) 10 5 12 28. 0 1 3 ( ICD) 6 4 4 3 8 5 ( ICD) 27. 3 28. 3 29. 7 ( ICD) 3 2 28. 3 15 10 (1/ 10 ) 20. 3 2 2 2 17. 8 1 / ( ICD) 2 1 1 20. 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 / / / 9. 3 9. 4 / 1 10. 1 8. 7 1 10. 6 1 1 9. 2 (156) 9 9 9 88. 7 8 ( ICD) 2 30. 3 3 ( ICD) 1 3 1 1 1 1 1 8. 4 9. 3 / 8. 4 (193) (179) 8 / 8 14 13 14 23 14 20 16 15 21 209. 3 19 12 16 (1/ 10 ) 9 10 10 159. 8 8 13 119. 8 80. 7 10 100. 6 7 39. 3 9 4 5 6 3 0 1 9 4 8 4 0 15 9 11 16 14 28 260. 3 18 19 18 26 16 9 68. 0 79. 2 9 7 15 15 87. 3 8 79. 4 8 4, 10 2. 19 20 21 22 1993 1997 10 10 88. 0 %90. 7 % 5 /, 10 80. 3 %8 % 5 /, 10 9 %98. 0 % 5 /, 10 8 %9 % 5 /, 10 2002 11 9 503

() 0 14 59 1014 1519 2024 2529 3034 3539 4044 4549 5054 5559 6064 6569 7074 7579 8084 85 14 3 1 1 38. 0 6 12 22 36 550. 4 82 150 147 153 178 9 2 4 80. 5 13 22 36 510. 6 82 99 880. 2 77 17 (1/ 10 ) 13 2 4 6 11 20 36 58 88 119 134 121 10 1 3 6 9 15 25 37 569. 7 74 85 620. 6 14 1 2 4 79. 7 14 27 44 710. 6 1018. 4 122 144 123 10 1 20. 4 29. 3 5 99. 4 20 33 47 67 81 83 65 23 8. 0 1 20. 3 4 7 10 17 26 55 94 1438. 1 1940. 4 240 249 159. 8 9. 2 1 30. 1 5 80. 5 12 180. 2 30 50 770. 3 106 125 104 14 1 2 5 8 12 21 34 58 90 1259. 5 147 126 870. 4 8 18. 4 3 5 8 12 18 268. 0 407. 8 540. 6 58 54 39 () 20 0 14 59 1014 1519 2024 2529 7. 3 3034 1 3539 3 4044 15 4549 23 5054 53 5559 83 6064 119 6569 188 7074 238 7579 219 8084 241 85 191 13 1 10. 7 1 3 8 16 29 47 660. 5 88 1260. 7 124 110 137 16 1 1 2 98. 7 379. 5 41 59 107 170 2228. 3 247 226 146 18 (1/ 10 ) 119. 8 1 2 7 247. 3 28 298. 1 72 93 122 131 132 62 15 17. 8 20. 5 3 100. 7 17 29 35 73 122 165 168 1269. 3 171 80. 7 1 2 1 47. 8 7 14 14 36 62 69 69 57 87 21 2 6 14 25 36 34 478. 4 73 96 117 134 142 1260. 2 10 2 4 10 14 15 20 27 37 47 65 66 598. 1 209. 3 1 1 3 4 8 138. 7 269. 8 52 769. 8 112 1709. 1 1430. 2 135 114 100. 6 38. 7 5 8 158. 0 28 29 43 59 52 41 45 19 1 1 19. 7 3 8 16 22 52 81 128 1578. 4 209 188 119 106 7 10. 2 1 1 28. 5 40. 2 7 99. 1 19 24 39 46 6 53 32 18 12 1 2 5 159. 8 23 31 35 38 40 52 579. 8 538. 3 528. 7 46 27 39. 3 2 4 79. 3 12 17 12 17 12 14 11 7 28. 3 3 88 % ; 0. 578 ;, 3, 0, 1993 1997, 5,, 12 7 12,, 108 915 759,, 12, 14/ 10 21/ 10 11/ 10 15/ 10, 230 024 ( 132 475, 97 549 ), 161 602 ( 99 396, 62 206 ) 169. 3/ 10 359. 7/ 10 48. 1/ 10 504 2002 11 9

1 2 3 4 5 6 7 8 9 10 110 ( ICD) 50. 2 3 5 ( ICD) 3 29. 1 28. 3 ( ICD) 5 3 4 ( ICD) 6 28. 7 4 ( ICD) 4 3 47. 3 ( ICD) 29. 4 30. 7 28. 7 ( ICD) 2 28. 0 1 19 10 (1/ 10 ) 2 18. 1 2 19. 7 1 1 2 1 1 4 18. 7 29. 4 2 18. 3 2 18. 4 1 20. 5 19. 7 1 1 2 1 1 3 1 2 2 1 2 / 1 7. 8 8. 4 / 1 8. 4 1 / / 1 1 8. 0 1 / 10. 4 7. 3 1 7. 8 (161) 90. 7 88. 0 (189) 1 2 3 4 5 6 7 8 9 10 1-10 ( ICD) 40. 3 3 2 ( ICD) 28. 4 17. 8 1 ( ICD) 1 1 1 20 10 (1/ 10 ) 9. 2 9. 2 1 1 1 9. 5 / 10. 7 9. 1 10. 2 9. 3 7. 3 2 1 1 9. 3 / 1 1 1 9. 4 10. 2 8. 5 10. 3 / 8. 7 7. 8 8. 5 / 1 8. 0 / 9. 1 (156) (179) (156) 88. 0 8 89. 7 8 8 8 80. 3 80. 5 219. 1/ 10 ; 20 79, 9/ 10 (20 49 ), 16/ 10 68. 0/ 10 9/ 10, 2002 11 9 505

1 2 3 4 5 6 7 8 9 10 110 ( ICD) 10 50. 4 14 40. 3 1 5 21 10 (1/ 10 ) 2 10. 4 29. 1 20. 3 2 / (161) 0. 6 0. 6 9 ( ICD) 70. 2 4 109. 1 6 3 9 1 1 1 / 0. 6 0. 5 (161) 0. 6 0. 4 9 ( ICD) 4 2 50. 7 3 2 4 3 2 38. 7 / 1 2 9 ( ICD) 8 4 80. 1 39. 8 1 38. 3 3 1 30. 4 / 1 1 8. 0 9 ( ICD) 4 2 3 4 20. 1 3 39. 8 1 3 / 2 10. 6 2 20. 6 1 9 ( ICD) 90. 3 4 12 3 1 47. 8 2 1 3 1 2 / 9 ( ICD) 8 6 10 1 20. 2 1 / 9. 2 9 ; 16/ 10 28/ 10 4/ 10 15/ 10, :, 25 79,, 10,, /, ; 10,, /, : / (100034) (200032) 10 (300060) (430022), / (150001) (350200) ; 10 (050013) (450003),, (226200) /, (532100) (314100) / (262600) 506 2002 11 9

( ICD) 7 5 8 20. 2 1 2 22 10 (1/ 10 ) 1 2 3 4 5 6 7 8 9 10 110 1 8. 1 1 1 8. 0 1 / 9 ( ICD) 5 4 7 3 3 4 7. 3 / 9 ( ICD) 1 2 19. 7 1 2 18. 7 1 19. 1 1 / (179) 89. 3 ( ICD) 2 2 2 19. 5 1 1 1 1 / 9. 2 89. 4 ( ICD) 1 1 1 1 1 1 / 1 1 1 1 1 1 (156) 8 ( ICD) 2 3 29. 5 1 1 1 10. 4 9. 1 / 8 ( ICD) 1 3 1 1 (179) / 8 2003, : 2003, 112 A4,, 10, 120 CN37-1355/ R, ISSN1009-4571, 24-145, 4917BM, : 440 (250117), : (0531) 7984777-82516, (0531) 7984783, E - mail : zgzlx @pub2 lic. jn. sd. cn 2002 11 9 507